Scars come in all shapes and sizes. Any time that a person has a breach through the full thickness of the dermal layer of the skin, the body will heal that injury with the formation of a scar. Some scars heal very well and end up being barely perceptible. Some scars go through an exaggerated inflammatory phase and end up forming a hypertrophic scar or even a keloid. As a plastic surgeon, I am asked all of the time to evaluate patients for scar revision. Some of the reasons that patients come to see me to include:
1) Prevention of bad scarring.
2) Treatment for bad scarring (Keloids & Hypertrophic scars).
3) Treatment of physical functional deformities that result from bad scarring (i.e. flexion contractures).
4) Revision of previous operations, when the result is not quite perfect.
5) Excessive pigmentation.
Pictured in the photo above is the result years after this patient had a very good operation for reconstruction of a Moh’s defect following removal of a Basal Cell Carcinoma from the right upper lip. This patient requested scare revision surgery to help correct the following issues: Scar hypopigmentation, mal-alignment of the upper lip margin at the “white roll,” and long-standing indentation of the scar in the area where the orbicularis oris muscle fibers were not completely repaired.